Individual
TREVOR STEVEN MUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1 STILL HOPES DR, WEST COLUMBIA, SC 29169-7164
(803) 796-6490
Mailing address
724 REBECCA DR, LEESVILLE, SC 29070-8510
(803) 528-1891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4904
SC
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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